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Surgery in chronic dialysis patients

S Schreiber1, A Korzets, E Powsner

  • 1Department of Surgery B, Golda Medical Center (Hasharon Hospital), Petah Tikva, Israel.

Israel Journal of Medical Sciences
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

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Surgery in patients with end-stage renal failure requiring dialysis is feasible. While complications like hyperkalemia are common, preventive measures can lead to acceptable outcomes for major surgical procedures.

Area of Science:

  • Nephrology
  • Surgical Sciences

Background:

  • Increasing prevalence of end-stage renal failure (ESRF) necessitates dialysis.
  • Chronic dialysis patients often require major surgical interventions.

Purpose of the Study:

  • To analyze the types of major surgical procedures performed in chronic dialysis patients.
  • To evaluate postoperative outcomes and identify typical complications in this cohort.

Main Methods:

  • Retrospective review of 44 major surgical operations (excluding access and parathyroidectomy) in 22 chronic dialysis patients over 21 years (1972-1993).

Main Results:

  • Abdominal surgery and hernia repair were most common, followed by urological, amputation, and vascular procedures.
  • Postoperative complications occurred in 54% of operations, with hyperkalemia (32%) being most frequent.

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  • Mortality rate was 2%, likely due to hyperkalemia and arrhythmia.

    • Conclusions:

    • Surgery in uremic patients on dialysis can achieve acceptable morbidity and mortality rates.
    • Anticipation and prevention of complications like hyperkalemia, hypotension, and bleeding are crucial.
    • Perioperative management strategies are recommended to minimize surgical risks in dialysis patients.